Eficacia del apósito de plástico en aerosol Nobecutan. En la disminución del dolor asociado al trauma perineal tras el parto vaginal / Effectiveness of Nobecutan plastic dressing spray in reducing pain associated with perineal trauma after vaginal delivery

Objetivo. Comparar la diferencia en el dolor perineal entre las mujeres con apósito y sin apósito aplicado en el trauma perineal después de su reparación. Diseño. Estudio experimental controlado y aleatorizado. Lugar. Hospital Universitario Fundación Alcorcón, hospital público perteneciente a la Comunidad de Madrid. Muestra. En el estudio participaron ochenta y dos mujeres nulíparas, con episiotomía o desgarro perineal de segundo grado durante el parto. Método. Fueron asignadas al azar a cada uno de los grupos. Al grupo experimental se aplicó el apósito plástico directamente sobre la herida, mientras que al grupo control se le aplicó el apósito en la piel circundante a la herida. Mediciones de lo s resultados principales. Se preguntó a las participantes en relación con la sensación de dolor (escala 0-100) en reposo y durante diferentes actividades (como sentarse, caminar, micción o defecación) y con el uso de analgésicos a las 24 y 48 horas posparto. Resultados. Las mujeres tratadas con el apósito adhesivo en aerosol en la herida presentan menos dolor en reposo, al sentarse, deambulación, micción y defecación, a las 24 horas y a las 48 horas del parto, frente a las mujeres sin apósito adhesivo en la herida. Solo alcanza significación estadística (p = 0.024) la diferencia de medias del dolor en la micción a las 48 h, siendo la diferencia de 9.5 mm (IC 95 %; 1.2 a 17.4) y el tamaño de efecto (d de Cohen): d = 0.51. La necesidad de analgesia fue mayor en el grupo control que en el experimental, aunque no alcanzó significación estadística. Conclusión. Este estudio sugiere que la aplicación de apósito plástico en aerosol en el trauma perineal inmediatamente después de su reparación puede contribuir a disminuir las molestias en mujeres primíparas en las primeras 48 horas posparto (AU)

Objective. The aim of this study was to compare the difference in perineal pain between women with dressing spray versus no dressing spray applied after perineal repair. Design. Randomized controlled trial. Setting. The Hospital Universitario Fundación Alcorcón, a state hospital belonging to the Community of Madrid. Sample. The study involved eighty-two nulliparous women, who had undergone vaginal delivery with episiotomy or second-degree perineal laceration. Method. They were randomized. One group was applied the dressing spray directly on the wound (experimental group). The other group was applied the dressing spray on the skin around the wound (control group). Main outcome measures. The participants were questioned regarding the sensation of pain (0-100 scale) in repose and during different activities (such as sitting, walking, urinating and during defecation), and the use of painkillers at 24 and 48 hours postpartum. Results. Women treated with plastic dressing spray on the wound had less pain at repose, sitting, walking, urinating and during defecation at 24 hours and 48 hours postpartum. Only reached statistical significance the pain in urination at 48 hours. The difference was 9.5 mm (95 %; 1.2 to 17.4) and the effect size (Cohen’s d): d = 0.51). The need for analgesia was higher in the control group than in the experimental, but not significant differences being observed. Conclusions. Findings suggest that Nobecutan® plastic dressing spray can decrease perineal pain in nulliparous women in the first 48 hours after birth (AU)

[EFFECTIVENESS OF NOBECUTAN® PLASTIC DRESSING SPRAY IN REDUCING PAIN ASSOCIATED WITH PERINEAL TRAUMA AFTER VAGINAL DELIVERY]. / Eficacia del apósito plástico en aerosol Nobecutan®: EN LA DISMINUCIÓN DEL DOLOR ASOCIADO AL TRAUMA PERINEAL TRAS EL PARTO VAGINAL.

OBJECTIVE: The aim of this study was to compare the difference in perineal pain between women with dressing spray versus no dressing spray applied after perineal repair. DESIGN: Randomized controlled trial. SETTING: The Hospital Universitario Fundación Alcorcón, a state hospital belonging to the Community of Madrid. SAMPLE: The study involved eighty-two nulliparous women, who had undergone vaginal delivery with episiotomy or second-degree perineal laceration. METHOD: They were randomized. One group was applied the dressing spray directly on the wound (experimental group). The other group was applied the dressing spray on the skin around the wound (control group). MAIN OUTCOME MEASURES: The participants were questioned regarding the sensation of pain (0-100 scale) in repose and during different activities (such as sitting, walking, urinating and during defecation), and the use of painkillers at 24 and 48 hours postpartum. RESULTS: Women treated with plastic dressing spray on the wound had less pain at repose, sitting, walking, urinating and during defecation at 24 hours and 48 hours postpartum. Only reached statistical significance the pain in urination at 48 hours. The difference was 9.5 mm (95 %; 1.2 to 17.4) and the effect size (Cohen's d): d = 0.51). The need for analgesia was higher in the control group than in the experimental, but not significant differences being observed. CONCLUSIONS. Findings suggest that Nobecutan® plastic dressing spray can decrease perineal pain in nulliparous women in the first 48 hours after birth.